| NPI | 1891744322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARTON C BREZINA Director 706-722-6900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2023-11-15 |