| NPI | 1245393321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM E FREEMAN Owner 478-953-1020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: GA 026856) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2008-11-04 |