376K00000X
Dallas, GA
Specialty
376K00000X
NPI
1609643360
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 376k00000x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 376K00000X