| NPI | 1215111992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES I CAULTON Doctor 478-453-9435 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 18004) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: GA 18004) |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2007-12-18 |