| NPI | 1093060303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH R SHAVER President 706-339-5092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 042430) |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2012-07-23 |