| NPI | 1912559501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANIQUE LAKEITA ADAMS Family Nurse Practitioner 706-951-5860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2019-07-12 |