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 |