NPI | 1508054149 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES ANDREW BEDINGFIELD Physician 478-275-4300 |
Organization Subpart ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: GA 027343) |
Additional Taxonomies | 302F00000X Exclusive Provider Organization (Licence: GA 027343g) |
Enumeration Date | 2007-10-09 |
Last Update Date | 2024-11-22 |