| NPI | 1841230620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA FIELDS Director Cmo Business Operations 706-446-5587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2019-09-11 |