| NPI | 1053634618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRIL R YOUNG Administrator 912-354-6614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: GA 36358) |
| Enumeration Date | 2010-03-10 |
| Last Update Date | 2010-03-10 |