| NPI | 1760839500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY WARREN CHAMBERS President & CEO 706-310-0324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2018-09-24 |