| NPI | 1376651216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NITIN R. DESAI Administrator 706-576-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 042810) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2010-10-29 |