| NPI | 1790722593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER CULLER Office Manager 706-737-9250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2008-04-15 |