| NPI | 1750775789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH R SHAVER Owner 706-339-5092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 042430) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 042430) |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2015-03-27 |