| NPI | 1962886630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE HODGES Controller 229-259-4140 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care (Licence: GA 092141) |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2019-08-22 |