| NPI | 1891768917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID KEITH PARKER Md/Officer 229-242-4996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2010-01-20 |