| NPI | 1750421855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY MORGAN Physician Billing Coordinator 229-985-4076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: GA 054715) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-08-22 |