| NPI | 1083939136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLEY RANSFORD-DES JARDINES Administrative Director 706-475-4920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 204R00000X Electrodiagnostic Medicine |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology | |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 207RI0011X Internal Medicine, Interventional Cardiology | |
| 207V00000X Obstetrics & Gynecology | |
| 208000000X Pediatrics | |
| 208600000X Surgery | |
| 208C00000X Colon & Rectal Surgery | |
| 208M00000X Hospitalist | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2010-04-01 |
| Last Update Date | 2014-01-14 |