| NPI | 1790619583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAIGE WHITE CEO 706-457-4781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology |
| 2471M2300X Radiologic Technologist, Mammography | |
| Enumeration Date | 2026-06-09 |
| Last Update Date | 2026-06-17 |