| NPI | 1295143279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE BUDWANY Office Manager 478-922-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 281P00000X Chronic Disease Hospital |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2014-07-23 |