NPI | 1285696112 |
---|---|
Doing Business As | WAYNE OBSTETRICS AND GYNECOLOGY |
Entity Type | Organization |
Authorized Contact | ANTONIA BROOKE HARRIS Executive Office Manager 912-530-7301 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 024255) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 024255) |
Enumeration Date | 2006-04-05 |
Last Update Date | 2011-11-01 |