NPI | 1801133699 |
---|---|
Entity Type | Organization |
Authorized Contact | BILLY P LYNN Owner 706-651-8400 |
Organization Subpart ? | No |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: GA 024290) |
Enumeration Date | 2013-01-14 |
Last Update Date | 2022-03-16 |