| NPI | 1750686150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LEE BRADEN President 706-766-7851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2011-01-14 |
| Last Update Date | 2011-01-14 |