| NPI | 1386869386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MILTON MURRELL Owner 912-233-5316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: GA 025-368) |
| Additional Taxonomies | 261QP1100X Clinic/Center, Podiatric |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2015-03-25 |