NPI | 1447461488 |
---|---|
Entity Type | Organization |
Authorized Contact | JEANNIE M BATTEN Office Manager 912-264-9118 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: GA 038105) |
Additional Taxonomies | 174400000X Specialist (Licence: GA 051407) |
Enumeration Date | 2007-05-24 |
Last Update Date | 2020-08-22 |