| NPI | 1902977457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY A MEEKS President 478-452-5433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: GA 2139643AH) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2013-06-11 |