NPI | 1790047579 |
---|---|
Doing Business As | GUMUCIO PLASTIC SURGERY |
Entity Type | Organization |
Authorized Contact | CESAR A GUMUCIO President/Owner 706-613-6650 |
Organization Subpart ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: GA 32744) |
Enumeration Date | 2012-06-08 |
Last Update Date | 2012-06-08 |