| NPI | 1285918805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN E ROGERS Member/Manager 912-224-4874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: GA 026180) |
| Enumeration Date | 2011-09-30 |
| Last Update Date | 2011-09-30 |