| NPI | 1811966369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA K CLARK Practice Manager 912-871-6206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 010585) |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2026-01-15 |