NPI | 1033377882 |
---|---|
Entity Type | Organization |
Authorized Contact | BEVERLY MICHELE JACKSON Medical Assistant/ Office Manager 706-733-9447 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 017877) |
Enumeration Date | 2008-05-29 |
Last Update Date | 2008-05-29 |