| NPI | 1720426075 |
|---|---|
| Doing Business As | TALLULAH TRAIL MEDICAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | NORMAN W KING President 478-302-5270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2013-06-10 |