NPI | 1679751341 |
---|---|
Former Legal Business Name | CAPRI MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | PRIMA R FOSTER Provider/Owner 706-478-5858 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care (Licence: GA 57619) |
Enumeration Date | 2008-02-05 |
Last Update Date | 2015-07-29 |