| NPI | 1972744258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA OLIVER Practice Administrator 912-355-2335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2009-03-16 |
| Last Update Date | 2018-07-13 |