| NPI | 1679766299 |
|---|---|
| Doing Business As | CHILDREN'S MEDICAL GROUP OF SW GA |
| Entity Type | Organization |
| Authorized Contact | MARION A WILLS Owner 229-985-1293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2011-10-27 |