| NPI | 1962746701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERI LYNN SHEFFIELD President 229-247-1163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA 047945) |
| Enumeration Date | 2012-11-17 |
| Last Update Date | 2012-11-17 |