| NPI | 1457687964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA NELMS Practice Manager 706-434-0130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: GA 062417) |
| Additional Taxonomies | 208600000X Surgery (Licence: GA 062417) |
| Enumeration Date | 2009-10-19 |
| Last Update Date | 2009-10-19 |