| NPI | 1700075074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM EARL ROUNDTREE Physician 706-324-3650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 021802) |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2023-03-07 |