| NPI | 1326209859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT DAVID MIXSON Owner 912-882-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 39415) |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2013-12-12 |