| NPI | 1104904135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYCEE NICHOLE PRICE Office Manager 912-267-7607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease |
| 207RC0200X Internal Medicine, Critical Care Medicine | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2008-03-31 |