NPI | 1306449749 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISTI I LEE Senior Director 706-513-4897 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 363L00000X Nurse Practitioner |
207R00000X Internal Medicine | |
363A00000X Physician Assistant | |
Enumeration Date | 2020-11-18 |
Last Update Date | 2022-06-08 |