| NPI | 1356429765 |
|---|---|
| Doing Business As | ASC OF BAUCOM & MINA DERM SURGERY |
| Entity Type | Organization |
| Authorized Contact | MARK BAUCOM President 404-844-0496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2023-12-13 |