| NPI | 1114140829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA PALMER SIMMONS Owner Manager 478-457-2411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: GA 000864674A) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |