| NPI | 1588188841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES B GAFFNEY CEO 912-721-6701 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2017-07-28 |