| NPI | 1376068064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRK ALESSANDRO MUNSAYAC Physician 912-375-4884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 68251) |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2017-09-13 |