| NPI | 1083007355 |
|---|---|
| Doing Business As | COMMUNITY CLINIC |
| Entity Type | Organization |
| Authorized Contact | MAURICE S BYRD Owner 912-335-8934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2015-03-11 |
| Last Update Date | 2015-08-04 |