| NPI | 1255575890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA DAWNE THOMPSON Director Of Nursing Clinic 912-478-5166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: GA RN117953 NP) |
| Enumeration Date | 2009-04-27 |
| Last Update Date | 2009-04-27 |