| NPI | 1649641721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE WOMACK Credentialing COO Rdinator 229-259-4131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: GA RN195214) |
| Enumeration Date | 2015-10-14 |
| Last Update Date | 2015-10-14 |