| NPI | 1790812451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN LEX KENERLY Owner/President 912-427-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: GA 030633) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2010-03-23 |