| NPI | 1225183379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS NATHAN MALONE Doctor 706-324-2485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 13227) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2014-02-03 |