| NPI | 1003260324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVY AKUA FENIN Fnp 678-577-9287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN185101) |
| Enumeration Date | 2016-04-22 |
| Last Update Date | 2016-04-22 |