| NPI | 1740669696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE WEEMS Director 912-651-2575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0905X Clinic/Center, Public Health, State or Local (Licence: GA LPN028231) |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2015-06-15 |