| NPI | 1295073070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK H BLALOCK CEO 706-327-4317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: GA 012675) |
| Enumeration Date | 2013-01-29 |
| Last Update Date | 2013-01-29 |