| NPI | 1326336736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND CLAYTON MCKOY Physician 706-346-2130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 044536) |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2023-04-25 |