| NPI | 1730695776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARLENE RENE CRITTENDEN President/Nurse Practitioner 706-325-4550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA RN106186) |
| Enumeration Date | 2017-12-27 |
| Last Update Date | 2017-12-27 |