NPI | 1427312370 |
---|---|
Doing Business As | LILBURN WIC CLINIC |
Entity Type | Organization |
Authorized Contact | VERONICA HUDSON Billing Supervisor 678-442-6884 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP0905X Clinic/Center, Public Health, State or Local |
Enumeration Date | 2012-06-26 |
Last Update Date | 2012-06-26 |