| NPI | 1689666075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH W DEHAVEN President 912-355-1437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: GA 20687) |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2020-08-22 |