| NPI | 1447338744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUBODH K AGRAWAL Owner 706-208-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 208VP0000X | |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2025-07-25 |