| NPI | 1770644841 |
|---|---|
| Doing Business As | CARDIOVASCULAR & THORACIC SURGERY ASSOCIATION |
| Entity Type | Organization |
| Authorized Contact | ROBIN J. MADDOX Provider Enrollment Coordinator 912-350-9335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2011-05-31 |