| NPI | 1609457621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARONDA BROWN Family Nurse Practitioner 229-234-2916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2021-04-20 |
| Last Update Date | 2024-04-15 |