NPI | 1013066950 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRIS KERSEY Director 1866-935-0333 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN070078) |
Enumeration Date | 2007-01-09 |
Last Update Date | 2020-08-22 |