| NPI | 1679395594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEETRA D WRIGHT Owner 912-332-3744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QH0100X Clinic/Center Health Service |
| Enumeration Date | 2024-10-30 |
| Last Update Date | 2024-10-30 |