| NPI | 1881854743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA YALONDA WARNER-WHITE Pediatrician 912-576-6464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: GA 039504) |
| Enumeration Date | 2008-06-13 |
| Last Update Date | 2008-06-13 |