| NPI | 1396015343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS RUSSELL THOMAS President 229-247-9911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 22898) |
| Enumeration Date | 2012-01-09 |
| Last Update Date | 2012-01-09 |