| NPI | 1508865684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAN OSTA Office Manager 912-265-1212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: GA 015631) |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2010-03-04 |