| NPI | 1265549893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLAISE ANTHONY WIDMER Managing Officer 478-272-9688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: GA 050097) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2008-02-19 |