| NPI | 1790912913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID LEVASSEUR Partner 912-598-4321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory (Licence: GA Not required) |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2009-06-15 |