| NPI | 1023645728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON C NEWTON District Billing Supervisor 706-667-4265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2020-03-24 |