| NPI | 1174950117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN STEVEN WILLIAMS Physician/Owner 912-596-8323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: GA 59237) |
| Enumeration Date | 2013-10-05 |
| Last Update Date | 2013-10-05 |