| NPI | 1487682373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD J HARMON CFO/Controller 706-812-4313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RC0000X Internal Medicine Cardiovascular Disease | |
| 207RG0100X Internal Medicine Gastroenterology | |
| 207RH0003X Internal Medicine Hematology & Oncology | |
| 207RI0200X Internal Medicine Infectious Disease | |
| 207RP1001X Internal Medicine Pulmonary Disease | |
| 207V00000X Obstetrics & Gynecology | |
| 207W00000X Ophthalmology | |
| 207X00000X Orthopaedic Surgery | |
| 207Y00000X Otolaryngology | |
| 207YS0123X Otolaryngology Facial Plastic Surgery | |
| 2085R0202X Radiology Diagnostic Radiology | |
| 208600000X Surgery | |
| 208800000X Urology | |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2025-09-11 |