NPI | 1760605844 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN CLARK HILL President 706-335-9060 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 046122) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 048108) |
363LF0000X Nurse Practitioner, Family (Licence: GA RN135396) | |
Enumeration Date | 2007-04-10 |
Last Update Date | 2020-08-22 |