First Coast Ent Valid NPI
Organization · Specialist · Saint Marys, GA
- NPI
- 1346427143
- Type
- Organization (Type 2)
- Primary specialty
- Specialist
- Specialty group
- Other Service Providers
- Taxonomy code
- 174400000X
- License number
- 056552 (GA)
- Enumerated
- 2008-01-24
- Last updated
- 2008-01-24
Practice location
2040 Dan Proctor Dr, Suite 250
Saint Marys, GA 31558-3811
(912) 729-2794