| NPI | 1659313153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MISTY SANDERS Office Manger 478-293-4739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 041593) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 051049) |
| 207R00000X Internal Medicine (Licence: GA 049348) | |
| 207R00000X Internal Medicine (Licence: GA 047951) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 052467) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: GA 052467) | |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2022-11-30 |