| NPI | 1447352778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM MARK NEWTON Md/Owner 706-737-4575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services |
| 207PP0204X Emergency Medicine, Pediatric Emergency Medicine | |
| 207PS0010X Emergency Medicine, Sports Medicine | |
| 207Q00000X Family Medicine | |
| 207QA0000X Family Medicine, Adolescent Medicine | |
| 207QA0505X Family Medicine, Adult Medicine | |
| 207QG0300X Family Medicine, Geriatric Medicine | |
| 207QS0010X Family Medicine, Sports Medicine | |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2007-10-04 |