| NPI | 1689140600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK ELDRIDGE Partner 912-548-6480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2019-03-08 |