| NPI | 1255741807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL D HAVER Md 706-548-1555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 031605) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 026381) |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2017-05-02 |