| NPI | 1003298688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY K BOTTNER Managing Partner 912-352-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2015-06-19 |