| NPI | 1396149076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARITA HARVEY Billing Manager 912-232-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: GA 53170) |
| Enumeration Date | 2014-10-09 |
| Last Update Date | 2014-10-09 |