| NPI | 1679716765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH BYNE Practice Manager 706-722-0463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2009-04-20 |