| NPI | 1912138116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN R PARROTT Owner/Physician 229-249-7888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 036246) |
| Enumeration Date | 2009-08-05 |
| Last Update Date | 2009-08-05 |