| NPI | 1497144026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL HENRY GRAHAM Administrator 706-922-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 35420) |
| Enumeration Date | 2015-01-20 |
| Last Update Date | 2015-01-20 |