| NPI | 1356778211 |
|---|---|
| Doing Business As | ERGENT MED-1 |
| Entity Type | Organization |
| Authorized Contact | MICHAEL K HAMM Owner 912-223-9268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2013-10-08 |
| Last Update Date | 2020-10-20 |