| NPI | 1235143884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD L BRANDON President 912-729-5563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: GA 14890) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2020-08-22 |