| NPI | 1417362807 |
|---|---|
| Doing Business As | FAYETTE GENERAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | JEFF D CAPLES Member Representative 205-333-4657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2014-06-25 |