| NPI | 1851580575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD STALLINGS Administrator 706-737-7922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: GA 029298) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: SC 13372) |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2007-10-18 |