| NPI | 1336326610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE L LANDRUM Office Administration 706-854-1235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 028834) |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2008-01-29 |