| NPI | 1629441613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONY M O'STEEN CFO VP Finance 912-538-5314 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 048883) |
| Enumeration Date | 2015-11-12 |
| Last Update Date | 2020-08-07 |