| NPI | 1518186915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN ALLEN DRAWDY CEO 912-285-0062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA 011282) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2008-05-14 |