NPI | 1861893216 |
---|---|
Other Name | SAINT JOSEPHS MERCY CARE - MERCY DEKALB CSB |
Entity Type | Organization |
Authorized Contact | E THOMAS ANDREWS President 678-843-8502 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2014-09-04 |
Last Update Date | 2014-10-21 |