| NPI | 1083253140 |
|---|---|
| Other Name | INTERCARE MEDICAL |
| Entity Type | Organization |
| Authorized Contact | JON C GIBBS Physician 706-432-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain |
| Enumeration Date | 2020-01-06 |
| Last Update Date | 2020-01-06 |