| NPI | 1952623704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AIMEE S JONGEJAN Business Manager 912-577-3991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: GA MT002240) |
| Enumeration Date | 2010-02-22 |
| Last Update Date | 2010-02-22 |