| 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 |