| NPI | 1851185904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD MCKINNEY Oral Surgeon 706-831-4706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center Oral and Maxillofacial Surgery |
| Enumeration Date | 2025-04-05 |
| Last Update Date | 2025-04-05 |