| NPI | 1043087588 |
|---|---|
| Other Name | CONVENIENT CARE CLINIC, LLC |
| Entity Type | Organization |
| Authorized Contact | JEREMY GARRARD Owner 478-232-7313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2023-12-05 |
| Last Update Date | 2024-11-01 |