| NPI | 1578743985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UMAMAHESWARI JONNALAGADDA Officer 912-383-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA GA042299) |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2007-11-14 |