| NPI | 1831185172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS M ALLEN Authorized Official 912-537-1815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: GA GA053327) |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2020-08-22 |