| NPI | 1710311790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY R COBB Assistant Manager 478-954-3140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 036129) |
| Enumeration Date | 2013-08-27 |
| Last Update Date | 2024-02-08 |