| NPI | 1497082242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BECKY WILKERSON Administrator 229-391-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 049525) |
| Additional Taxonomies | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: GA 049525) |
| Enumeration Date | 2009-11-14 |
| Last Update Date | 2009-11-14 |