| NPI | 1972223055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY GILBERT Vice President Of Population Health 706-208-1990 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2022-08-30 |
| Last Update Date | 2022-08-30 |