| NPI | 1730102021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL A WATTS President 706-722-8242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2020-08-22 |