| NPI | 1790949048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH DODSON Office Manager 229-246-6417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: GA CHIR006256) |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2008-07-16 |