| NPI | 1205944311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY REYNOLDS Office Manager 706-322-1486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: GA 038662,049226,053587) |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2022-12-16 |