NPI | 1275600439 |
---|---|
Doing Business As | CENTER FOR BREAST CARE |
Entity Type | Organization |
Authorized Contact | ROBIN J. MADDOX Provider Enrollment Coordinator 912-350-9335 |
Organization Subpart ? | No |
Primary Taxonomy | 208600000X Surgery |
Enumeration Date | 2006-11-30 |
Last Update Date | 2011-05-31 |