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 |