| NPI | 1720011489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN JAMISON Billing Manager 706-543-8444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 038831) |
| Additional Taxonomies | 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: GA 038831) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2020-08-22 |