NPI | 1366443368 |
---|---|
Entity Type | Organization |
Authorized Contact | BARBARA B BUTLER Chief Executive Officer 706-321-0476 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
208600000X Surgery | |
207RG0100X Internal Medicine, Gastroenterology | |
Enumeration Date | 2005-08-02 |
Last Update Date | 2022-07-21 |