NPI | 1043497274 |
---|---|
Entity Type | Organization |
Authorized Contact | BEVERLEY ANN TOWNSEND Owner/Physician 706-653-6080 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA 028091) |
Enumeration Date | 2008-01-30 |
Last Update Date | 2008-01-30 |