NPI | 1285662866 |
---|---|
Entity Type | Organization |
Authorized Contact | PAUL J TILSON President 912-764-6808 |
Organization Subpart ? | No |
Primary Taxonomy | 208800000X Urology (Licence: GA 020839) |
Additional Taxonomies | 208800000X Urology (Licence: GA 046818) |
Enumeration Date | 2006-06-30 |
Last Update Date | 2020-08-22 |