| NPI | 1215198221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES J MCDONALD JR. Oral Surgeon 706-548-0604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2008-06-23 |