| NPI | 1265439830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIXIE LOUISE CALHOUN Administrator 912-538-1003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0800X Clinic/Center, Endoscopy (Licence: GA 138082) |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2014-01-29 |