101YA0400X
Douglasville, GA
Specialty
101YA0400X
NPI
1982029393
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 101ya0400x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 101YA0400X