| NPI | 1841324639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IYABO F MURAINA Business Amanger 478-744-9603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: GA 044029) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-08-22 |