| NPI | 1194064832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRIL YOUNG Practice Administrator 912-629-0457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease |
| Enumeration Date | 2013-01-31 |
| Last Update Date | 2014-07-17 |