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 |