| NPI | 1760636575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEIGH HOWARD MCDANIEL Practice Manager 478-475-1006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 020359) |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2008-11-06 |