| NPI | 1306904081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARHAN SIDDIQUI Physician 478-972-0277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2019-09-19 |