| NPI | 1093944423 |
|---|---|
| Doing Business As | POLK PRIMARY CARE CLINIC |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER WADE SELLERS Medical Director 706-295-6704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: GA 025271) |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2009-07-07 |