| NPI | 1437299740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW GREGORY CORDISTA Doctor 229-890-6612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: GA 051451) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2015-12-16 |