| NPI | 1487837134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT O. OLIVER Chairman 478-272-3446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: GA 009683) |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2008-10-08 |