NPI | 1750508602 |
---|---|
Doing Business As | WOODBINE FAMILY CARE CENTER |
Entity Type | Organization |
Authorized Contact | DELORES HAMILTON Office Manager 912-576-5999 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA R051587) |
Enumeration Date | 2007-04-20 |
Last Update Date | 2023-09-21 |