| NPI | 1922473859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL B DILLON Provider 478-845-7630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: GA 73005) |
| Enumeration Date | 2015-12-03 |
| Last Update Date | 2019-04-09 |