| NPI | 1992229280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN PELKEY Chief Financial Officer 912-495-8887 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2023-03-01 |