| NPI | 1346490554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS VOLINSKI Chief Financial Officer 706-858-2254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2010-06-23 |