| NPI | 1003583790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIKA NICHOLSON Owner/Artist 678-394-0477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZA2600X Specialist/Technologist, Other, Art, Medical |
| Enumeration Date | 2021-08-30 |
| Last Update Date | 2021-08-30 |