NPI | 1619201357 |
---|---|
Doing Business As | CHESTATEE MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | AARON DURALL Chief Executive Officer 706-867-4311 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
208000000X Pediatrics | |
Enumeration Date | 2009-09-29 |
Last Update Date | 2017-02-08 |