| NPI | 1659806248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN D FILSON Provider 678-897-9577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: GA 003951) |
| Enumeration Date | 2017-04-21 |
| Last Update Date | 2017-04-21 |