| NPI | 1043614712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE A ROBILLARD President 706-513-8119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 48817) |
| Enumeration Date | 2014-10-09 |
| Last Update Date | 2014-10-09 |