| NPI | 1760786024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA RICHARD GROVES Owner/CEO 478-254-6608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2010-12-30 |
| Last Update Date | 2020-09-25 |