| NPI | 1831353036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY HEMBREE CFO 229-228-2853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207Y00000X Otolaryngology | |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2020-11-04 |