| NPI | 1275515967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC JENSEN President 706-226-3139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207QA0401X Family Medicine, Addiction Medicine | |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2024-08-19 |