NPI | 1043087588 |
---|---|
Other Name | CONVENIENT CARE CLINIC, LLC |
Entity Type | Organization |
Authorized Contact | JEREMY GARRARD Np/ Owner 706-922-2201 |
Organization Subpart ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
Enumeration Date | 2023-12-05 |
Last Update Date | 2023-12-05 |