| NPI | 1356102198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVE RINGER CEO 706-453-1201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2024-01-18 |
| Last Update Date | 2024-03-28 |