| NPI | 1588997019 |
|---|---|
| Doing Business As | INTERNAL MEDICINE DEPARTMENT, INC. |
| Entity Type | Organization |
| Authorized Contact | ROBIN J MADDOX Provider Enrollment Coordinator 912-350-9335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2011-05-31 |