NPI | 1083803035 |
---|---|
Entity Type | Organization |
Authorized Contact | GLYNN STEVEN CHESSER President/Md 706-433-0741 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 039307) |
Enumeration Date | 2007-10-16 |
Last Update Date | 2007-10-16 |