| 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 |