| NPI | 1558341057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ERIC EATON Physician Assistant 229-242-9003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: GA 018627) |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2020-08-22 |