NPI | 1811688914 |
---|---|
Doing Business As | PRIMARY HEALTHCARE CENTER MITCHELL RD |
Entity Type | Organization |
Authorized Contact | AMY BUFFINGTON Credentialing Director 706-620-4494 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2023-05-18 |
Last Update Date | 2023-05-18 |