| NPI | 1396807319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY VARNADOE Chief Executive Officer 706-437-2683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2021-12-17 |