| NPI | 1609098367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEEPALI S AGARWAL Secretary 706-494-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2008-03-14 |