| NPI | 1659306223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE WILLIAMSON Office Manager 706-860-5074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: GA DN009012) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2020-08-22 |