| NPI | 1740372598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MICHAEL HAGINS Owner 706-213-1688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: GA 024820) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2020-08-22 |