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 |