| NPI | 1205113057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY HOWARD Office Manager 478-254-2644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 41768) |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2021-01-21 |