NPI | 1215302823 |
---|---|
Entity Type | Organization |
Authorized Contact | BENJAMIN GEORGE CAMERANSI Medical Director/Owner 912-321-9112 |
Organization Subpart ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: SC 21121) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: SC 21121) |
Enumeration Date | 2015-12-08 |
Last Update Date | 2015-12-08 |