| NPI | 1487865952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER FRANDSEN VANDYCK Owner 706-549-4155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: GA 27679) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2009-12-15 |