| NPI | 1952460073 |
|---|---|
| Doing Business As | CENTER FOR BREAST CARE |
| Entity Type | Organization |
| Authorized Contact | ROBIN J. MADDOX Provider Enrollment Coordinator 912-350-9335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2011-05-31 |