| NPI | 1952686248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN JUDSON SHELNUTT Owner 706-227-1164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 046813) |
| Enumeration Date | 2011-10-18 |
| Last Update Date | 2011-10-18 |