| NPI | 1508392267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS WEINER Physician 706-850-6134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 72846) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 72811) |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2017-05-02 |