| NPI | 1710205927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM CHARLES MILLER C.E.O. 912-384-7300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: GA 024302) |
| Additional Taxonomies | 208600000X Surgery (Licence: GA 024302) |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2020-04-24 |