| NPI | 1336998574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL W MYERS COO 706-502-0503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2024-05-17 |
| Last Update Date | 2024-05-20 |