NPI | 1902020522 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN MIDDLETON D.P.M. 706-802-1800 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: GA 000618) |
Enumeration Date | 2007-04-13 |
Last Update Date | 2007-09-28 |