| NPI | 1992511398 |
|---|---|
| Doing Business As | CLYBURN CENTER FOR PRIMARY CARE MOBILE UNIT |
| Entity Type | Organization |
| Authorized Contact | DONALD BRANUM CEO 706-396-1469 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2024-12-10 |
| Last Update Date | 2024-12-10 |