| NPI | 1417115817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONY O'STEEN Controller 912-538-5857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: GA 060835) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2008-06-02 |