| NPI | 1225401946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA FROMKIN Credentialing Mgr 706-494-3071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery Orthopaedic Trauma |
| Enumeration Date | 2015-11-03 |
| Last Update Date | 2023-08-16 |