| NPI | 1235361908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKSON P MORGAN Owner 912-355-9330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: GA 011606) |
| Enumeration Date | 2009-08-14 |
| Last Update Date | 2009-08-14 |