| NPI | 1669637401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID R. SPEARMAN Physician 706-738-8611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA 17310) |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2008-07-21 |