| NPI | 1477794360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM E. ANDREWS President 678-843-8503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2009-03-23 |
| Last Update Date | 2009-03-24 |