| NPI | 1679813406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FERDINAND ALCAIDE Owner/Partner 706-322-1486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: GA 38662, 49226, 53587,) |
| Enumeration Date | 2013-02-14 |
| Last Update Date | 2013-10-15 |