| NPI | 1891786240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN SCOTT MCWHORTER President 706-859-8998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 001645) |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2020-02-12 |