| NPI | 1336492511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZE JOSEPH Director Of Practice Management 478-621-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2019-06-28 |