| NPI | 1679545768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH L GOLDMAN President 706-649-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2086S0129X Surgery Vascular Surgery |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2022-07-21 |