| NPI | 1619150182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATINA HEARD Office Manager 912-283-6152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: GA 036088) |
| Enumeration Date | 2007-12-07 |
| Last Update Date | 2007-12-07 |