| NPI | 1316754211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN M HIVELY Np, Owner/Operator/CEO 912-655-5614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 251J00000X Nursing Care |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2024-12-13 |
| Last Update Date | 2024-12-13 |