| NPI | 1114186020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK JOSEPH D'ANNA Medical Doctor/President 912-729-2955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: GA 036952) |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2010-07-20 |