| NPI | 1184492878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY DENISE GRAHAM Nurse Practitioner/Incorporator 912-253-6163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2023-12-13 |
| Last Update Date | 2024-06-11 |