| NPI | 1639567696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONY M OSTEEN CFO VP Finance 912-538-5314 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: GA 028227) |
| Enumeration Date | 2014-12-29 |
| Last Update Date | 2014-12-29 |