NPI | 1912315094 |
---|---|
Doing Business As | SOUTH GA SURGICAL |
Entity Type | Organization |
Authorized Contact | CHRISTOPHER DORMAN President/CEO 229-353-6104 |
Organization Subpart ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: GA 030799) |
Enumeration Date | 2014-08-01 |
Last Update Date | 2022-06-24 |