| NPI | 1073858387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDULAZIZ MASOUD Director 706-270-1991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| 251B00000X Case Management | |
| 163WC0400X Registered Nurse, Case Management | |
| Enumeration Date | 2012-11-28 |
| Last Update Date | 2012-12-04 |