| NPI | 1689936494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDE W MCCANTS Clinic Manager 678-418-0066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: GA 000392) |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2012-06-08 |