| NPI | 1750408746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY M KOHSE Owner 478-742-4745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2011-01-05 |