| NPI | 1548517253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS A UWAGERIKPE President 229-630-0407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA 56779) |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2012-08-13 |