| NPI | 1164829883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL P. HUNCHEY President/CEO 912-819-6901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2014-11-24 |
| Last Update Date | 2020-04-24 |