NPI | 1912323700 |
---|---|
Entity Type | Organization |
Authorized Contact | DONALD W ALEXANDER Owner 770-424-7968 |
Organization Subpart ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: GA 21471) |
Additional Taxonomies | 207YX0602X Otolaryngology, Otolaryngic Allergy (Licence: GA 21471) |
Enumeration Date | 2014-03-17 |
Last Update Date | 2014-03-17 |