| NPI | 1730761065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL KLEINPETER Owner 912-695-1761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital |
| Additional Taxonomies | 261QH0100X Clinic/Center Health Service |
| 261QM1300X Clinic/Center Multi-Specialty | |
| Enumeration Date | 2021-04-26 |
| Last Update Date | 2024-01-18 |