| NPI | 1679933501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WESLEY WOOD CFO 706-790-4440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QI0500X Clinic/Center, Infusion Therapy (Licence: GA 032689) |
| Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy (Licence: GA 032689) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: GA 032689) | |
| 363AM0700X Physician Assistant, Medical (Licence: GA 032689) | |
| Enumeration Date | 2016-03-04 |
| Last Update Date | 2016-03-04 |