NPI | 1245456805 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL D YATES President 256-536-4448 |
Organization Subpart ? | No |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: AL 15293) |
Enumeration Date | 2007-04-18 |
Last Update Date | 2008-08-27 |