| NPI | 1225524515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER DUNN Office Manager 706-342-1555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services (Licence: GA 050292) |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2024-05-28 |