| NPI | 1801167325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD J SMITH Doctor 912-882-7880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA 2860) |
| Enumeration Date | 2012-01-13 |
| Last Update Date | 2012-01-13 |