NPI | 1417597170 |
---|---|
Entity Type | Organization |
Authorized Contact | JULIE HODGES Controller 229-259-4140 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
Enumeration Date | 2020-01-10 |
Last Update Date | 2022-07-28 |