| NPI | 1841769718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLEY WILKINS Practice Manager 912-655-6217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2018-11-20 |
| Last Update Date | 2022-03-15 |