| NPI | 1689998536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA MASCOLO Partner 912-354-6614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 052469) |
| Enumeration Date | 2010-03-22 |
| Last Update Date | 2010-03-22 |