| NPI | 1689416885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELYSSA SHARVON ROBINSON Medical Assistant 912-312-9823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy |
| Enumeration Date | 2024-06-10 |
| Last Update Date | 2024-06-10 |