| NPI | 1285341503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN WILLIAM GOOLSBY Admin 478-246-1027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 261QX0100X Clinic/Center, Occupational Medicine | |
| 332U00000X Home Delivered Meals | |
| 251E00000X Home Health | |
| 261QC1500X Clinic/Center, Community Health | |
| Enumeration Date | 2022-11-07 |
| Last Update Date | 2022-11-07 |