| NPI | 1639322779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY A DELAURIER President 706-546-7646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: GA 29625) |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2014-04-02 |