| NPI | 1689689481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH KOHN Credentialing Specialist 912-756-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2024-12-19 |