| NPI | 1922378702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG LEE WILLIAMS Owner 912-367-2596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN147732NP) |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2020-08-28 |