NPI | 1033428214 |
---|---|
Doing Business As | OPTIM PRIMARY CARE MILLEN |
Entity Type | Organization |
Authorized Contact | HOLLY D ROLAND Operations Director 912-644-5300 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1300X Clinic/Center Rural Health |
Additional Taxonomies | 261QR1300X Clinic/Center Rural Health |
Enumeration Date | 2010-10-05 |
Last Update Date | 2018-05-07 |