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 |