NPI | 1295126977 |
---|---|
Entity Type | Organization |
Authorized Contact | DOREEN DARLYN KINNEY President 912-264-1278 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 042629) |
Enumeration Date | 2015-02-17 |
Last Update Date | 2015-02-17 |