| NPI | 1710027800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY MORGAN Physician Billing Coordinator 229-890-3447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 037415) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-08-22 |