| NPI | 1164745782 |
|---|---|
| Doing Business As | YOUR PERSONAL PHYSICIAN |
| Entity Type | Organization |
| Authorized Contact | MICHAEL S JACKSON President 706-266-9090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 055376) |
| Enumeration Date | 2010-03-10 |
| Last Update Date | 2011-01-20 |