| NPI | 1649441163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J RENNER Owner/Physician 478-329-0291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 038594) |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2008-03-13 |