| NPI | 1477865467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENE BENJAMIN MACKAY Physician 706-548-9109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: GA 051680) |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2010-07-08 |