| NPI | 1174784912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE GOMISCH Office Administrator 706-238-5465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: GA 018065) |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2008-06-24 |