| NPI | 1396986295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THAN WIN Registered Agent 912-352-7960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: GA 046014) |
| Enumeration Date | 2009-03-23 |
| Last Update Date | 2022-09-01 |