| NPI | 1538265764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD P MCEWAN President 912-265-6711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA 035688) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2009-07-17 |