| NPI | 1154698629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES GARY TAYLOR Pres./CEO 706-563-1953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: GA Chir002341) |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2011-11-28 |