| NPI | 1962669572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC LEE HALL President 912-369-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: GA 045814) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2021-12-08 |