| NPI | 1568509123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE LYNN HOWARD Administrator 478-237-8342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 034616) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2020-08-22 |