| NPI | 1245748771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEHIA COCHRAN President 478-289-8147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: GA 36774) |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2019-05-13 |