367A00000X
Carterville, GA
Specialty
367A00000X
Credential
CNM
NPI
1932965381
200 Gentilly Boulevard, Carterville, GA 30120
(470) 490-6460Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 367a00000x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 367A00000X