| NPI | 1558768960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA WILLIAMS CFO 912-925-0067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207N00000X Dermatology |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2014-12-02 |