| NPI | 1689857542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISA MARTIN Billing Cordinator 478-745-3014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: GA 047875) |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2007-12-13 |