| NPI | 1487757969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASPAUL SINGH BHANGOO Staff Physician 706-951-5778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OK 23930) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2020-08-22 |