| NPI | 1043266026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IYABO F MURAINA Office Manager 478-744-9603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 4465) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2020-08-22 |