| NPI | 1619110574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL M THAXTON Medical Director 706-922-4545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: GA 16291) |
| Enumeration Date | 2009-04-08 |
| Last Update Date | 2009-04-08 |