NPI | 1972892818 |
---|---|
Entity Type | Organization |
Authorized Contact | YASHVANT D PATEL Business Maneger 706-494-5955 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 037326) |
Enumeration Date | 2011-03-31 |
Last Update Date | 2011-03-31 |