| 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 |