| NPI | 1861788762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ALLEN LEE President 229-200-4019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine Emergency Medical Services |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2011-08-10 |