| NPI | 1578744900 |
|---|---|
| Doing Business As | SANDERSVILLE CLINIC |
| Entity Type | Organization |
| Authorized Contact | RASHAD N. ALI Executive Director 601-425-3033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2010-11-16 |