| NPI | 1043620966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALTHEIA WARE Owner/Provider 706-315-0836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN142278) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN190791) |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2016-08-18 |