| NPI | 1124877618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER MCDONALD DONAHUE Executive Director 706-581-2009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2024-05-16 |
| Last Update Date | 2024-05-16 |