| NPI | 1356587620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN FREDERICK ELDER Owner 706-548-4754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 020098) |
| Enumeration Date | 2008-12-17 |
| Last Update Date | 2008-12-17 |