| NPI | 1285637728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH S WILLIAMSON Clinic Administrator 478-237-7517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: GA 113829) |
| Enumeration Date | 2005-05-29 |
| Last Update Date | 2012-07-24 |