| NPI | 1114953742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY J. GREGORY Owner 912-232-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2022-07-21 |