| NPI | 1104002799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE MORRIS Business Office Mgr 706-882-8971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 048066) |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2008-03-04 |