| NPI | 1528508710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRIL HARKINS Osc 706-624-1444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0905X Clinic/Center Public Health, State or Local (Licence: GA RN175411) |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2017-03-07 |