| NPI | 1972881423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARVEY P LEBLANC Managing Member 706-625-0333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2012-10-18 |