| NPI | 1437383247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUANITA G TRIMOR Physician 706-228-2597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA 040579) |
| Enumeration Date | 2009-05-07 |
| Last Update Date | 2012-01-19 |