| NPI | 1194816280 |
|---|---|
| Doing Business As | COUNTRY WAY FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | DENISE M WORKMAN Owner/Physician 678-231-5999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2007-11-28 |