| NPI | 1003187071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACIE BROOME Office Coordinator 706-421-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: GA 045041) |
| Enumeration Date | 2012-01-23 |
| Last Update Date | 2024-03-05 |