| NPI | 1225401946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLA MCMEANS Sys Dir Of Credentialing 706-494-3171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma |
| Enumeration Date | 2015-11-03 |
| Last Update Date | 2025-09-12 |