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 |