| NPI | 1063065035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIA ANESIA MITCHELL Owner/Nurse Practitioner 404-618-3131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 174H00000X Health Educator |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2019-07-18 |