| NPI | 1497261960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMION ROCKWELL Oral And Maxillofacial Surgeon 229-392-3897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2017-12-20 |
| Last Update Date | 2017-12-20 |