| NPI | 1154475085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY MCNEIL Office Manager 912-384-3338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 038423) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 053749) |
| 207R00000X Internal Medicine (Licence: GA 056658) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: GA RN101998) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 024996) | |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-08-22 |