| NPI | 1609116375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES BURNETTE CEO 706-276-4741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2013-02-18 |
| Last Update Date | 2018-02-12 |