| NPI | 1588404446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT BRIAN RAYBON Md 706-282-7676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology Female Pelvic Medicine and Reconstructive Surgery |
| Enumeration Date | 2024-05-29 |
| Last Update Date | 2024-05-29 |