| NPI | 1184873390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER L WIXON Member 912-352-8346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2022-09-13 |