| NPI | 1336411347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY GAIL SMITH Officer 706-367-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA 038372) |
| Enumeration Date | 2012-02-07 |
| Last Update Date | 2012-02-07 |