| NPI | 1962605683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN C WEATHERSPOON President 912-673-9355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: GA 033482) |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2011-04-25 |