| NPI | 1861579146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE HAYNES POPE Physician 407-857-6261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: FL ME0053077) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |