| NPI | 1356575377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH R GUSSLER Medical Director 912-359-4829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2009-05-05 |
| Last Update Date | 2015-03-25 |