| NPI | 1861538944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF L BUSH Owner 706-364-6495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: GA 051300) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2020-08-22 |