| NPI | 1558128314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOBBY J GUESS Owner 912-720-5450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Additional Taxonomies | 261QI0500X Clinic/Center, Infusion Therapy |
| Enumeration Date | 2024-02-28 |
| Last Update Date | 2024-02-28 |