| NPI | 1629086327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD VANN ALLEN President 229-244-2562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2023-11-10 |