| NPI | 1326419649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTY WILBANKS Rev Cycle Director 706-369-5472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: GA 049153) |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2015-10-14 |