| NPI | 1730284480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE B WOOLLEN President 706-724-4045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: SC 15566) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: GA 042002) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2007-10-09 |