| NPI | 1861832040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRIL YOUNG Practice Administrator 912-629-0457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2014-04-30 |