| NPI | 1871857011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN PAUL PAYNE Owner/President 229-434-7640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 63938) |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2015-08-13 |