| NPI | 1851598676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN EDWARD REIMER Owner 706-860-2986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: GA 20804) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2011-08-09 |