| NPI | 1316501372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL CRAWFORD DUBOSE CFO 912-632-8961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2024-05-16 |