| NPI | 1144432048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRSTEN J HAMPTON Owner 478-788-4007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA GA048078) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA GA051141) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2022-09-08 |