| NPI | 1598822280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY ELLIS Insurance Clerk 706-546-7908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: GA 12368) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2012-06-18 |