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 |