NPI | 1033726179 |
---|---|
Doing Business As | WELLNESS & BEYOND PRIMARY CARE |
Entity Type | Organization |
Authorized Contact | SHANTE NICOLE YOUNG Nurse Practitioner 678-357-2682 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2020-09-23 |
Last Update Date | 2021-02-22 |