| NPI | 1447742168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FERDINAND Q ALCAIDE Owner/Partner 706-322-1486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2024-03-11 |