| NPI | 1033314711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ODELL P STILL Medical Director 912-537-0616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 037085) |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2010-02-03 |