| NPI | 1801080288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID T FLETCHER Owner/President 706-752-0322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2023-04-04 |