| NPI | 1578999033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT C JONES Owner 478-405-5252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA 037003) |
| Enumeration Date | 2013-09-16 |
| Last Update Date | 2013-09-16 |