| NPI | 1003315243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAVONDA CRAVEY VP Of Corporate Revenue Cycle 912-384-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2022-03-30 |