101YP2500X
Dallas, GA
Specialty
101YP2500X
Credential
LPC
NPI
1649506601
110 Evans Mill Dr, Dallas, GA 30157
(678) 813-2741Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 101yp2500x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 101YP2500X