| NPI | 1588751424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTI I LEE Practice Manager 706-774-7992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 621111) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2008-06-11 |