| NPI | 1023266699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA MCCOY BROWN President 912-238-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA 10698) |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2008-09-08 |