| NPI | 1699178798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL KEVIN HAMM CEO 912-223-9268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: GA 049021) |
| Enumeration Date | 2014-10-02 |
| Last Update Date | 2014-10-02 |