| NPI | 1063607828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK DANIEL BYRON Md Owner 912-427-8033 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: GA 047579) |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2011-01-26 |