| NPI | 1932905064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES RYAN MOORMAN Dc, Owner 229-241-8925 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Enumeration Date | 2025-02-20 |
| Last Update Date | 2025-02-20 |