| NPI | 1992180087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY T PETERSON Director Of Intake & Reimbursement 478-743-3033 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QI0500X Clinic/Center, Infusion Therapy |
| Enumeration Date | 2015-07-30 |
| Last Update Date | 2022-03-21 |