| NPI | 1831389048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN MONT-LOUIS Ob/Gyn 478-743-4030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: GA 048674) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2020-06-22 |