| NPI | 1023317559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ERIC SHULER Member/Manager 706-509-0011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: GA RN111878NP) |
| Enumeration Date | 2011-03-23 |
| Last Update Date | 2011-06-15 |