| NPI | 1447325600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA ELLINGTON Billing Supervisor 706-298-7732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0905X Clinic/Center Public Health, State or Local |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2023-09-13 |