| NPI | 1346688058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NITI BHALLA CARLSON President 706-736-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: GA 045052) |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2013-06-11 |