| NPI | 1336502012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY J SAK Dir Of Operations 912-927-8887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2016-03-31 |