| NPI | 1902013709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH M MARTIN Physician/Owner 706-256-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 173000000X Legal Medicine (Licence: GA 040477) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2012-12-17 |