| NPI | 1558543538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE Y LEE President 706-264-4446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: WA MD00047144) |
| Additional Taxonomies | 207QB0002X Family Medicine Obesity Medicine (Licence: WA MD00047144) |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2007-11-30 |