| NPI | 1659138428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FE SERRALLES VIVAS Office Administrator 706-660-1711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology |
| Enumeration Date | 2024-02-28 |
| Last Update Date | 2024-02-28 |