| NPI | 1558562181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARJORIE S BUCHANAN Practice Manager 706-633-4132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 032586) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2019-12-02 |