| NPI | 1003164468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN SHANER John Shaner, Md 912-289-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: GA 065178) |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2012-08-20 |