NPI | 1558530675 |
---|---|
Entity Type | Organization |
Authorized Contact | RODNEY HOWARD BROWN CEO 912-283-9383 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: GA 980T) |
Enumeration Date | 2008-02-22 |
Last Update Date | 2008-03-31 |