NPI | 1730326778 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSE A. CANEDO Solo Practitioner/Owner 706-571-0121 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: GA 2084N0400X) |
Enumeration Date | 2009-01-13 |
Last Update Date | 2013-12-20 |