NPI | 1063654929 |
---|---|
Entity Type | Organization |
Authorized Contact | PETER WROBEL Practitioner/Owner 912-283-1359 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 040285) |
Enumeration Date | 2009-03-24 |
Last Update Date | 2024-09-20 |