| NPI | 1700011244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MODUPE OLUWATOYIN OGUNSAKIN Office Manager 478-922-5122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: GA 55136) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 55136) |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2024-06-28 |