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 |