| NPI | 1851558811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN JANINE DAVIS Office Manager Charge Nurse 706-867-6505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA 037640) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2008-05-19 |