| NPI | 1386065258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD ALLEN ASPLUND Medical Director Student Health 706-723-4302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: GA 58438) |
| Enumeration Date | 2013-12-19 |
| Last Update Date | 2013-12-20 |