| NPI | 1255963260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON C NEWTON District Billing Supervisor 706-667-4265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine |
| Enumeration Date | 2020-02-07 |
| Last Update Date | 2020-02-07 |