NPI | 1740540830 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT V GLOVER Owner/Physician 229-432-1818 |
Organization Subpart ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: GA 036161) |
Enumeration Date | 2012-05-22 |
Last Update Date | 2015-07-28 |