| NPI | 1346256757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLEY RANSFORD-DES JARDINES Administrative Director 706-475-4921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2013-12-20 |