| NPI | 1689811390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEBASTIAN OTTO HUBBUCH President 706-565-7382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: AL 16161) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: AL 532) |
| 363AM0700X Physician Assistant Medical (Licence: AL 242) | |
| Enumeration Date | 2009-01-16 |
| Last Update Date | 2009-01-19 |