| NPI | 1164711792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD N FULKS Director 706-882-1411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 208800000X Urology | |
| 207RI0011X Internal Medicine, Interventional Cardiology | |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207R00000X Internal Medicine | |
| 208M00000X Hospitalist | |
| 207VG0400X Obstetrics & Gynecology, Gynecology | |
| 207RH0003X Internal Medicine, Hematology & Oncology | |
| 207Y00000X Otolaryngology | |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2013-08-26 |