| NPI | 1407062706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH J NICHOLS Member LLC 404-351-2001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: GA 35712) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2007-12-27 |