| NPI | 1265597835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLEY RANSFORD-DES JARDINES Administrative Director 706-475-4921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 027103) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2013-12-20 |