NPI | 1568087021 |
---|---|
Entity Type | Organization |
Authorized Contact | ROMMER M TAYAG Physician/Owner 478-929-2909 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
Enumeration Date | 2020-06-10 |
Last Update Date | 2022-04-27 |