| NPI | 1215128186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES WILLIAM JACKSON Owner 912-871-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: GA 034372) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2015-11-06 |