| NPI | 1689843641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN LOUISE FEHR DALESSANDRO Owner 912-692-1080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: GA 035178) |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2008-02-25 |