| NPI | 1598878621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE FRANCIS KULISH President 706-216-6446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 045860) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2014-09-18 |