| NPI | 1851432173 |
|---|---|
| Doing Business As | NW GA SPECIALTY CLINIC |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER WADE SELLERS Medical Director 706-295-6704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0905X Clinic/Center, Public Health, State or Local (Licence: GA 025271) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2011-03-30 |