| NPI | 1841445780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY LAYNE Office Manager 912-629-4535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: GA 008102 B 621111) |
| Enumeration Date | 2008-11-19 |
| Last Update Date | 2010-04-01 |