| NPI | 1487899464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LAGESSE Sr VP Of Physician Practices 229-312-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2008-12-05 |
| Last Update Date | 2014-06-26 |