NPI | 1366641318 |
---|---|
Entity Type | Organization |
Authorized Contact | ANGELA MCVEY CEO 229-723-2660 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2007-07-11 |
Last Update Date | 2022-03-03 |