| NPI | 1982794111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY A COOPER District Billing De PT COO Rdinator 912-262-2347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2015-01-06 |