| NPI | 1396996955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANIA CHRISTINE EDWARDS Physician/President 706-570-5337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: GA 053465) |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2008-10-01 |