| NPI | 1083828024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY JOHN SAK Dir Of Operations 912-927-8887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 037050) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: GA 037918) |
| 207Q00000X Family Medicine (Licence: GA 037918) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: GA 037050) | |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2013-05-01 |