| NPI | 1518905108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM P MCALVANY Representative 770-509-1025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 031625) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2007-12-05 |