| NPI | 1730843202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANIKA RAMSEY POWELL Nurse Practitioner/Owner 706-399-4601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2021-10-29 |
| Last Update Date | 2023-06-30 |