NPI | 1518339795 |
---|---|
Entity Type | Organization |
Authorized Contact | JERI ANN KING Executive Director 706-781-7957 |
Organization Subpart ? | No |
Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: GA LPN057830) |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: GA LPN057830) |
261QR1300X Clinic/Center, Rural Health (Licence: GA LPN057830) | |
Enumeration Date | 2015-10-27 |
Last Update Date | 2015-10-27 |