| NPI | 1457009664 |
|---|---|
| Doing Business As | CANTON OFFICE AT LIBERTY BLVD |
| Entity Type | Organization |
| Authorized Contact | CHRISTI G KIRKLAND Director Revenue Cycle 678-284-4049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Enumeration Date | 2022-03-16 |
| Last Update Date | 2022-03-16 |