| NPI | 1528358330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY M WILLIAMS Owner/Physician 478-783-3025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: GA 042771) |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2011-04-13 |