NPI | 1316345846 |
---|---|
Doing Business As | GEORGETOWN PEDIATRIC CENTER |
Entity Type | Organization |
Authorized Contact | SANDRA D GILLIARD CEO 184-399-0799 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2014-12-16 |
Last Update Date | 2022-06-21 |