| NPI | 1912180134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE D BEVERIDGE Physician 706-774-0478 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: GA 020405) |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2014-12-09 |