| NPI | 1366897977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | C. PASCHAL BROOKS President 229-723-4111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN007286) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: GA DN014123) |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2016-05-02 |