| NPI | 1437521291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT GORDON LEWIS Owner 706-596-8844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: GA 053576) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: GA 053576) |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2015-11-10 |