NPI | 1013315605 |
---|---|
Doing Business As | FITZGERALD PRIMARY CARE |
Entity Type | Organization |
Authorized Contact | LINDA A WILSON VP Physician Services 229-353-3403 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 030071) |
Enumeration Date | 2014-12-12 |
Last Update Date | 2014-12-12 |