| NPI | 1013304997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA CUADRADO Sole Member 470-375-8521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN220894) |
| Enumeration Date | 2015-04-19 |
| Last Update Date | 2015-04-19 |