| NPI | 1356450910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH DWIGHT BURCH President/Director 912-350-8085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2012-12-04 |