| NPI | 1437681426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYRA M BELCHER Clinical Coordinator 706-295-6701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0905X Clinic/Center, Public Health, State or Local (Licence: GA RN175411) |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2017-03-30 |