| NPI | 1003060807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA LEGRAND LUNDY Practice Manager 706-723-9926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology |
| 207VX0000X Obstetrics & Gynecology, Obstetrics | |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2026-07-15 |