| NPI | 1720295561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID NEWBY President 706-278-3430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2024-10-01 |