| NPI | 1225302920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL T GROFT Owner 706-227-3292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: GA 007566) |
| Enumeration Date | 2012-02-28 |
| Last Update Date | 2012-02-28 |