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 |