| NPI | 1811269632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES H EVANS Office Manager 912-265-5994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA rn120593) |
| Enumeration Date | 2012-02-09 |
| Last Update Date | 2012-02-09 |