NPI | 1518055110 |
---|---|
Entity Type | Organization |
Authorized Contact | HY CHARLES SUSSMAN Owner 706-737-6557 |
Organization Subpart ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: GA 009271) |
Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: SC 6890) |
Enumeration Date | 2006-10-10 |
Last Update Date | 2010-02-03 |