| NPI | 1811640790 |
|---|---|
| Doing Business As | CHATHAM ORAL SURGERY, PC |
| Former Legal Business Name | POOLER OMS LLC/87-3972136 |
| Entity Type | Organization |
| Authorized Contact | MICHAEL C WILSON Owner 912-354-1515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2022-01-31 |
| Last Update Date | 2024-10-28 |