| NPI | 1033240130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA R JENKINS President 770-875-8152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: GA RN128161) |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: GA RN128161) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2013-10-31 |