| NPI | 1396944633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH GRACE ELLIOTT-SMITH Practice Manager 912-537-8988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 53388) |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2007-07-17 |