| NPI | 1942578539 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | DANIEL MOST Authorized Official 912-303-6678 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: GA 056148) | 
| Enumeration Date | 2011-12-09 | 
| Last Update Date | 2025-09-25 |