| NPI | 1861659294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DYAPA S REDDY President 912-384-2474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA 028307) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2008-05-22 |