NPI | 1093837312 |
---|---|
Entity Type | Organization |
Authorized Contact | ELIZABETH MARIE MOBLEY President 912-547-0228 |
Organization Subpart ? | No |
Primary Taxonomy | 208800000X Urology |
Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology |
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology | |
2085R0001X Radiology, Radiation Oncology | |
2085R0202X Radiology, Diagnostic Radiology | |
2085R0204X Radiology, Vascular & Interventional Radiology | |
225100000X Physical Therapist | |
225X00000X Occupational Therapist | |
363A00000X Physician Assistant | |
363AM0700X Physician Assistant, Medical | |
363AS0400X Physician Assistant, Surgical | |
363L00000X Nurse Practitioner | |
363LF0000X Nurse Practitioner, Family | |
363LG0600X Nurse Practitioner, Gerontology | |
364S00000X Clinical Nurse Specialist | |
Enumeration Date | 2007-04-06 |
Last Update Date | 2024-07-17 |