| NPI | 1861894495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARL WAYNE RANTZ M.D. 478-745-9880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA 040767) |
| Enumeration Date | 2014-09-26 |
| Last Update Date | 2014-09-26 |