| 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 | 
| 2085R0202X Radiology, Diagnostic Radiology | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology | |
| 2085R0001X | |
| 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 | 2025-06-03 |