| NPI | 1104199751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE DEASON Director Physician Revenue Cycle 706-774-8326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208D00000X General Practice | |
| Enumeration Date | 2012-02-13 |
| Last Update Date | 2017-12-28 |