| NPI | 1245478213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY OLOFINTUYI Owner 706-320-0055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA GA045309) |
| Enumeration Date | 2009-01-29 |
| Last Update Date | 2024-05-08 |