| NPI | 1285706879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT F STAHLKUPPE President 706-896-2289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 017089) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2010-06-24 |