| NPI | 1205956877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT A. CAMPBELL Executive Director 706-799-5708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| 2251P0200X Physical Therapist, Pediatrics | |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2020-08-22 |