| NPI | 1851441687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND ALDRIDGE Physician Owner 229-891-3325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: GA 049415) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2012-08-01 |