| NPI | 1982772182 |
|---|---|
| Doing Business As | TOTS TO TEENS MEDICAL CTR |
| Entity Type | Organization |
| Authorized Contact | JO E. SMITH Practice Administrator 912-537-9991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2009-02-09 |