| NPI | 1669180741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA MARIE BURKETT Family Nurse Practitioner 912-699-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2022-11-08 |
| Last Update Date | 2022-11-08 |