| NPI | 1073872065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAPHNE M PATTERSON Owner 478-251-9538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN165491AP) |
| Enumeration Date | 2012-05-10 |
| Last Update Date | 2012-07-19 |