| NPI | 1861714420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE E MARTINEZ M.D. (Physician) 478-452-5515 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 047982) |
| Enumeration Date | 2010-02-24 |
| Last Update Date | 2018-08-31 |