| NPI | 1679744726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY G HAMILTON Office Manager 706-295-6571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: GA 12288) |
| Additional Taxonomies | 251K00000X Public Health or Welfare (Licence: GA DPH000004) |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2008-03-17 |