| 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 |