| NPI | 1104808377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN B VAUGHN Administrator 706-396-2001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2012-11-09 |