| NPI | 1578788410 |
|---|---|
| Former Legal Business Name | IRWIN COUNTY FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | HOWARD C MCMAHAN Physician 229-468-9903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2008-06-18 |