| NPI | 1689096828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADEREMI DOSUNMU CEO 912-877-9111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: GA 047893) |
| Enumeration Date | 2014-01-07 |
| Last Update Date | 2014-01-07 |