| NPI | 1932424017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFRED CARL GORMAN President 912-748-3368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: GA 036757) |
| Enumeration Date | 2010-04-01 |
| Last Update Date | 2015-05-07 |