| NPI | 1619182102 |
|---|---|
| Doing Business As | GLENVILLE MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | JOSEPH A LEWIS C.F.O. 912-557-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2007-12-06 |