| NPI | 1275857856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA CRUNK Office Manager 706-922-6903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: GA LCB19990014783) |
| Enumeration Date | 2010-03-25 |
| Last Update Date | 2012-01-31 |