| NPI | 1275848533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTI MARIE GHALEB Co Owner 912-303-9907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA 056554) |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2010-08-11 |