| NPI | 1457543175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS MATTHEW BOULIS Neurosurgeon 404-727-2354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NC0060X General Acute Care Hospital Critical Access |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2007-08-16 |