NPI | 1437578879 |
---|---|
Former Legal Business Name | ASHFORD EAR CLINIC, LLC |
Entity Type | Organization |
Authorized Contact | CLINTON ALEXANDER ASHFORD President 706-248-6860 |
Organization Subpart ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: GA 071659) |
Enumeration Date | 2014-04-14 |
Last Update Date | 2017-02-11 |