| NPI | 1013922699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA PAGE CALLAHAN Sec/Treas 912-264-6133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2009-06-01 |