104100000X
Douglasville, GA
Specialty
104100000X
Credential
MSW
NPI
1114357886
3400 Chapel Hill Rd, Douglasville, GA 30135
(770) 942-4822Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 104100000x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 104100000X