| NPI | 1508007774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS ANOTHONY DONOHUE Owner 912-232-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: GA 048889) |
| Enumeration Date | 2009-03-17 |
| Last Update Date | 2021-04-19 |