NPI | 1144513185 |
---|---|
Entity Type | Organization |
Authorized Contact | EDWARD WILLIAM HAMILTON Physician/ Owner 706-653-6080 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 053922) |
Enumeration Date | 2011-05-24 |
Last Update Date | 2011-05-24 |