NPI | 1639420151 |
---|---|
Doing Business As | ACI SURGICAL ASSOCIATES |
Entity Type | Organization |
Authorized Contact | ROBIN J. MADDOX Provider Enrollment Coordinator 912-350-9335 |
Organization Subpart ? | No |
Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology |
Additional Taxonomies | 208600000X Surgery |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
Enumeration Date | 2012-09-24 |
Last Update Date | 2012-09-24 |