| NPI | 1902950496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRISH JOHNSON Billing And Collections Manager 229-758-3359 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2007-11-06 |