NPI | 1841673308 |
---|---|
Entity Type | Organization |
Authorized Contact | RONALD CRAIG MCLEAN Medical Director 478-302-5107 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 030163) |
Enumeration Date | 2015-07-02 |
Last Update Date | 2022-06-23 |