| NPI | 1295094340 |
|---|---|
| Doing Business As | KIDS HEALTH FITZGERALD |
| Entity Type | Organization |
| Authorized Contact | ROBERT BONDS TUCKER CEO 229-468-9166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2012-05-10 |
| Last Update Date | 2024-11-26 |