| NPI | 1881609543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES W. MITCHELL President 912-280-9977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2020-10-28 |