| NPI | 1053578450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE W CHADWICK Office Manager 706-279-1994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: GA 37896) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2008-05-22 |