NPI | 1972655215 |
---|---|
Entity Type | Organization |
Authorized Contact | ALAIN DANIEL TOLAND Medical Director 478-923-0106 |
Organization Subpart ? | No |
Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery |
Enumeration Date | 2007-01-17 |
Last Update Date | 2020-08-22 |