| NPI | 1013258524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA J GAGANIS Director Revenue Cycle Management 404-567-8354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2013-03-07 |
| Last Update Date | 2023-04-06 |