| NPI | 1285925941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE DIXON Billing Office Manager 478-474-1769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: GA 037564) |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2011-06-01 |