| NPI | 1922169846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IAN NEIL HAMILTON Owner 706-259-3336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: GA 047329) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-08-22 |