| NPI | 1710727540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL FOSTER Executive Director, Financial Servi 706-272-6124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 207RN0300X Internal Medicine, Nephrology | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 363A00000X Physician Assistant | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2024-05-29 |
| Last Update Date | 2024-05-29 |