| NPI | 1558680462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEWATT M SIMS Owner/Managing Member 229-388-5625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: GA 048965) |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2010-05-21 |