NPI | 1235489683 |
---|---|
Doing Business As | RURAL HIV MODEL THOMASVILLE |
Entity Type | Organization |
Authorized Contact | SHELLEY SPIRES CEO 229-888-6559 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2012-09-13 |
Last Update Date | 2018-08-21 |