| NPI | 1275799322 |
|---|---|
| Doing Business As | BALL GROUND FAMILY PRACTICE,P.C. |
| Entity Type | Organization |
| Authorized Contact | CHARLES LEO COSTER Physician 706-253-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 045754) |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2008-10-06 |