| NPI | 1174506539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT J MAFFEI President 706-208-1144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2020-10-30 |