| NPI | 1386316297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKIE BEARDEN Manager 706-265-8002 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine |
| Enumeration Date | 2021-09-29 |
| Last Update Date | 2026-04-23 |