| NPI | 1649718057 |
|---|---|
| Doing Business As | GROVETOWN CLINIC |
| Entity Type | Organization |
| Authorized Contact | MICHELE D PRIOR Billing Specialist Supervisor 706-432-4837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2017-02-06 |