1041C0700X
Dallas, GA
Specialty
1041C0700X
Credential
LCSW
NPI
1093951410
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 1041c0700x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 1041C0700X