| NPI | 1336977172 |
|---|---|
| Doing Business As | BAXTER HEALTH FULTON COUNTY FAMILY CLINIC |
| Entity Type | Organization |
| Authorized Contact | DEBRA HENRY CFO 870-508-1003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2024-07-23 |
| Last Update Date | 2024-10-28 |