| NPI | 1255562948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | E EARL PENNINGTON Member 678-954-8538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: GA 015299) |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2013-09-25 |