NPI | 1386433258 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID P MURPHY Medical Director 912-283-6471 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
Additional Taxonomies | 208600000X Surgery |
Enumeration Date | 2025-05-06 |
Last Update Date | 2025-05-06 |