| NPI | 1861710998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM G PAXTON Managing Member 770-339-4225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology |
| Additional Taxonomies | 174400000X Specialist (Licence: GA 046206) |
| Enumeration Date | 2010-05-13 |
| Last Update Date | 2014-06-25 |