| NPI | 1407197551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID G DILLARD Owner 706-247-1775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2013-03-14 |