| NPI | 1457612889 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | MASOOD AHMED President 912-349-7169 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease | 
| Additional Taxonomies | 207R00000X Internal Medicine | 
| Enumeration Date | 2012-06-01 | 
| Last Update Date | 2015-06-01 |