| NPI | 1053462325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGIE SMITH Financial Coord 706-378-5651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2024-04-08 |