| NPI | 1942009998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA SLUSSER CEO 706-332-5577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2025-03-12 |
| Last Update Date | 2025-03-12 |