| NPI | 1215828819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMI SORRELLS CEO 706-253-4633 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2025-07-11 |
| Last Update Date | 2025-07-11 |