| NPI | 1760938021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY WAYNE CASEY Owner 706-814-3224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2024-03-08 |