| NPI | 1053764852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA L. HOSEA Np/Managing Director 1678-595-3780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN222652) |
| Enumeration Date | 2016-07-15 |
| Last Update Date | 2016-07-15 |