| NPI | 1033724323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY SLAY-CHIPP Practice Manager 912-230-1556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2020-09-13 |
| Last Update Date | 2024-06-06 |