| NPI | 1154370724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CURT L REDMOND Business Manager 478-953-9999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 026072) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 043738) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: GA 043738) | |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2010-11-12 |