| NPI | 1598981664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM TRIGGS BOYETT President 706-529-1765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 048758) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2010-02-23 |