| NPI | 1407202658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL T ADAMS Md 912-356-2235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: GA LPN088163) |
| Enumeration Date | 2016-05-06 |
| Last Update Date | 2016-05-06 |