| NPI | 1356530901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINE GILES Office Manager 912-537-1221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: GA 025159) |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2015-04-20 |