| NPI | 1902163991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IMO F NDEM Medical Director/Physician 706-228-2929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: GA 060968) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: GA 060968) |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2012-04-16 |