| NPI | 1447871793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY WARREN CHAMBERS President & CEO 706-310-0324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2020-04-28 |
| Last Update Date | 2020-05-01 |