| NPI | 1366516338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE WEEMS Office Manager 478-742-7566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2011-10-06 |