| NPI | 1205472362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT BRIAN RAYBON Owner 706-282-7676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2023-05-11 |