| NPI | 1427438589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH SUE-LING Owner 706-733-7537 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 21825) |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2015-06-24 |