| NPI | 1124231808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTI I LEE Practice Manager 706-774-5995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 023500) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2009-08-05 |