| NPI | 1669351672 |
|---|---|
| Other Name | NONE |
| Entity Type | Organization |
| Authorized Contact | WILLIAM ASHFORD Owner 706-389-8941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2025-09-02 |
| Last Update Date | 2026-04-23 |