| NPI | 1245584283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES HENRY TOPPING Manager 706-625-6555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME88414) |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2013-03-08 |