| NPI | 1053344341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAY EDWARD JOHNSON President 706-724-8611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 017835) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2010-05-10 |