| NPI | 1467568907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONY M OSTEEN CFO 912-535-8691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261QP2300X Clinic/Center, Primary Care | |
| 261QR0200X Clinic/Center, Radiology | |
| 261QS1200X Clinic/Center, Sleep Disorder Diagnostic | |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2019-03-13 |