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 |