| NPI | 1265912513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCIS CHRISTOPHER PETTIGREW Owner 912-988-1781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: GA 39904) |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2023-01-17 |