| NPI | 1447521661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD H BOLAND Physician 706-922-0440 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: GA 40826) |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2012-01-30 |