| NPI | 1487805263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL STEVEN CLINE CEO 912-920-3900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: GA 031085) |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2008-10-09 |