| NPI | 1154622181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARRY LEWIS AUGUST Physician/Owner 706-322-4486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: GA 18360) |
| Enumeration Date | 2010-11-08 |
| Last Update Date | 2010-11-08 |