| NPI | 1407986060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY JOHN DEUTSCH Owner 706-546-8518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-08-22 |