| NPI | 1598843781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE DEASON Director 706-774-8326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2012-08-14 |