| NPI | 1366784134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAVONDA CRAVEY VP Of Corporate Revenue Cycle 912-384-1477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2022-03-30 |