| NPI | 1245777580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD RICHARD KNIGHT Secretary 229-387-4242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2278P1004X Respiratory Therapist, Certified Pulmonary Diagnostics |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2017-01-25 |