| NPI | 1477738334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SABINA BREW AMPORFUL Officer Manager 478-259-3439 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: 030940) |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2024-08-02 |