| NPI | 1043533649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALMYTH J ROJAS Administrator 706-428-8908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease (Licence: GA 046533) |
| Enumeration Date | 2010-03-10 |
| Last Update Date | 2010-03-10 |