| NPI | 1689826315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA CAVALIERE Manager 478-746-0901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA 055662) |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2008-10-14 |