| NPI | 1184927972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID PHILLIP GOWDY President 770-355-2064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 34601) |
| Enumeration Date | 2010-12-16 |
| Last Update Date | 2010-12-16 |