| NPI | 1639224801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA WANGLE Chief Operating Officer 706-322-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: GA 040452) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2020-08-22 |