| NPI | 1902823024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE PAYNE Office Manager 912-826-4057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2022-02-04 |