| NPI | 1013312040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANNETTE R CROWLEY Founding Member 478-742-3704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: GA 052700) |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2020-03-03 |