NPI | 1649641721 |
---|---|
Entity Type | Organization |
Authorized Contact | KATIE WOMACK Credentialing Coordinator 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 |