| NPI | 1205608007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA M HANSEN Authorized Official 912-403-9317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 208M00000X Hospitalist |
| Enumeration Date | 2023-10-25 |
| Last Update Date | 2024-01-11 |