| NPI | 1366487019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCUS L SIMMONS Md/Owner 478-781-5065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 04996) |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2022-02-09 |