| NPI | 1770650673 |
|---|---|
| Doing Business As | INTERNAL MEDICINE DEPARTMENT, INC. |
| Entity Type | Organization |
| Authorized Contact | ROBIN J. MADDOX Provider Enrollment Coordinator 912-350-9335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2011-06-01 |