| NPI | 1902305063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICK TOWNSEND CFO 706-439-6469 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 208800000X Urology |
| 207V00000X Obstetrics & Gynecology | |
| 363A00000X Physician Assistant | |
| 208600000X Surgery | |
| 207X00000X Orthopaedic Surgery | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2025-09-17 |