| NPI | 1639235633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER E HALSEY Management Consultant 706-886-8477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 027223) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2023-12-29 |