| NPI | 1689873176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BUFORD OTTO EDWARDS President/Owner 706-769-7911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 028160) |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2007-07-13 |