| NPI | 1609896885 |
|---|---|
| Other Name | LAVONIA CLINIC MEDICAL |
| Entity Type | Organization |
| Authorized Contact | DAVID CRONIC Administrator 706-886-7537 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2022-11-17 |