| NPI | 1801083811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS ALAN BREWER Md 478-471-1943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: GA 38696) |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery |
| 208C00000X Colon & Rectal Surgery (Licence: GA 005329) | |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2018-02-05 |