| NPI | 1285402990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT J LAMBERTS CEO 706-504-9321 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2023-12-13 |
| Last Update Date | 2023-12-13 |