| NPI | 1962922476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA L DAVIES Physician/Owner 912-351-5050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: GA 025-062) |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2022-07-21 |