| NPI | 1407921034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL H BOONE Medical Director 706-774-7400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2018-09-10 |