| NPI | 1043311756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | W. STEVEN WILSON Owner/President 478-322-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 027947) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2007-11-16 |