| NPI | 1073702312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY C. BERLINER Physician 706-265-6866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: GA 041262) |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2007-11-13 |