| NPI | 1053868083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN G HENDRIX President 912-657-0466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: GA 23459) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology Allergy (Licence: GA 23459) |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2016-09-07 |