| NPI | 1316296411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL H GARRISON Insurance 770-491-0255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: GA 020801) |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2015-07-09 |