NPI | 1093974578 |
---|---|
Entity Type | Organization |
Authorized Contact | TERRY NEWTON LANGFORD President 770-222-5488 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 045867) |
Enumeration Date | 2008-06-09 |
Last Update Date | 2008-09-17 |