NPI | 1316295538 |
---|---|
Entity Type | Organization |
Authorized Contact | LORETTA FITZPATRICK Consultant 770-943-5260 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: LA 002493) |
Enumeration Date | 2012-08-20 |
Last Update Date | 2013-04-11 |