| NPI | 1649468463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH H BERGER Medical Doctor 229-228-6355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology Otolaryngology/Facial Plastic Surgery (Licence: GA 028722) |
| Additional Taxonomies | 207YX0007X Otolaryngology Plastic Surgery within the Head & Neck (Licence: GA 028722) |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2008-02-18 |