NPI | 1124565650 |
---|---|
Doing Business As | DAWSONVILLE FAMILY HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | TODD SHIFFLET C.E.O. 770-887-1668 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
Enumeration Date | 2017-01-23 |
Last Update Date | 2022-05-09 |