| NPI | 1316973472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT M CLARK CEO 706-650-7563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2024-10-23 |