| NPI | 1891918934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK JEROME PARADELA President 706-549-8931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: GA 049200) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-08-22 |