| NPI | 1316205073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES LANIER HEATON President 706-745-5556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA 31257) |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2012-05-01 |