| NPI | 1144418534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND ELIAS GUTIERREZ Medical Doctor 229-439-1950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: GA 057983) |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2007-10-10 |