| NPI | 1427184654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRI LYNN CRAFT Practice Administrator 706-246-9713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family |
| 207Q00000X Family Medicine | |
| 208000000X Pediatrics | |
| 363AM0700X Physician Assistant Medical | |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2025-08-22 |