| NPI | 1225583644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETSY J CREWS Office Manager 912-729-1227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA 022338) |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2016-08-16 |