| NPI | 1073549101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMIE RENEE CHAMBERS Practice Manager / Administrator 706-227-2110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: GA 039272) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: GA 046700) |
| 207W00000X Ophthalmology (Licence: GA 045379) | |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2020-08-22 |