| NPI | 1376930339 |
|---|---|
| Other Name | GV OF POOLER |
| Entity Type | Organization |
| Authorized Contact | JAMES THOMAS O'DARE Principal 856-335-5025 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| 2086S0129X | |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2015-11-13 |