| NPI | 1376118505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLUCK WILLIAM BENNETT CFO 912-685-1769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NC0060X General Acute Care Hospital, Critical Access |
| Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2021-05-20 |
| Last Update Date | 2021-05-20 |