| NPI | 1366765166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER DORMAN President/CEO 229-353-6104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease |
| 207V00000X Obstetrics & Gynecology | |
| 208000000X Pediatrics | |
| 2080P0208X Pediatrics Pediatric Infectious Diseases | |
| 2084N0400X Psychiatry & Neurology Neurology | |
| 207K00000X Allergy & Immunology | |
| 207Q00000X Family Medicine | |
| 207RC0000X Internal Medicine Cardiovascular Disease | |
| 207RG0100X Internal Medicine Gastroenterology | |
| Enumeration Date | 2010-03-08 |
| Last Update Date | 2022-06-24 |