NPI | 1053011452 |
---|---|
Entity Type | Organization |
Authorized Contact | ESTHER SWEETHEART GENSINGER Owner/Authorized Official 470-523-5570 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
Additional Taxonomies | 207RI0001X Internal Medicine, Clinical & Laboratory Immunology |
Enumeration Date | 2023-03-06 |
Last Update Date | 2023-03-24 |