| NPI | 1841708625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI NASH Provider Credentialing 912-349-4945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2021-11-04 |