| NPI | 1588902613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW K HOWARD Owner 706-267-9554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 062892) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 127158) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: GA 062892) | |
| Enumeration Date | 2013-01-24 |
| Last Update Date | 2013-01-24 |