NPI | 1710389440 |
---|---|
Entity Type | Organization |
Authorized Contact | TERRI JOHNSON Practice Administrator 229-432-1440 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA RN205498) |
Enumeration Date | 2014-09-25 |
Last Update Date | 2014-09-25 |