| NPI | 1568894087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE DEASON Director 706-774-8326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology |
| 2086S0129X Surgery, Vascular Surgery | |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2018-02-26 |