| NPI | 1992430649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RON EAKER Physician/Owner 706-825-8186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VB0002X Obstetrics & Gynecology, Bariatric Medicine |
| Enumeration Date | 2022-07-18 |
| Last Update Date | 2022-07-18 |