| NPI | 1063406684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA D ALVAREZ Registered Agent 912-819-5294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: GA 025-531) |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2024-07-23 |