| NPI | 1538311006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON KUYKENDALL Uhc Business Office Manager 706-542-8638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service |
| Additional Taxonomies | 103T00000X Psychologist |
| 231H00000X Audiologist | |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2014-02-19 |