| NPI | 1053477828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES FREEMAN Owner 229-312-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: GA 008764) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2007-09-12 |