| NPI | 1649424144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCO A AYULO President 912-283-6152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2008-11-11 |
| Last Update Date | 2008-11-14 |