| NPI | 1205967312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLENE THOMAS Assistant Office Manager 706-221-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 173000000X Legal Medicine (Licence: GA 028079) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2016-02-22 |