| NPI | 1356762553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD DARRELL CONNER President 478-747-9474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: GA 035027) |
| Enumeration Date | 2013-12-16 |
| Last Update Date | 2013-12-16 |