| NPI | 1346343761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORETTA LYNN GOODSON Administrator 706-353-5016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology |
| Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine |
| 207R00000X Internal Medicine | |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 207RH0000X Internal Medicine, Hematology | |
| 207RX0202X Internal Medicine, Medical Oncology | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology | |
| 2085R0001X | |
| 208600000X Surgery | |
| 2086X0206X Surgery, Surgical Oncology | |
| 208C00000X Colon & Rectal Surgery | |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2024-02-09 |