| NPI | 1659833515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEEANN ROBINSON Authorized Official 478-722-1062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2024-10-09 |