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 |