| NPI | 1548036908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH FRANK CERAVOLO Physician 706-221-2668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management |
| 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery | |
| 208200000X Plastic Surgery | |
| Enumeration Date | 2023-11-28 |
| Last Update Date | 2023-12-08 |