| NPI | 1265647424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER K. TIDWELL Physician 706-494-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 054351) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 054351) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 054351) | |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2011-03-22 |