| NPI | 1427536556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON C WELLINGTON Surgical First Assist 912-414-1212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: GA 181382) |
| Enumeration Date | 2018-07-31 |
| Last Update Date | 2018-07-31 |