| NPI | 1912326893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PENNY R OSWELL Financial Manager 912-721-6655 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 25219085) |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2014-04-08 |