| NPI | 1659676989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES H. EVANS Chief Financial Officer 912-427-8031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 050270) |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2011-01-18 |