NPI | 1376735597 |
---|---|
Entity Type | Organization |
Authorized Contact | SUJAY PATEL Owner 912-729-4944 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2007-08-11 |
Last Update Date | 2007-08-11 |