| NPI | 1083058424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NYARKO O MUNGIN Co Owner 404-698-1732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: GA LPN044213) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN220068) |
| Enumeration Date | 2013-04-27 |
| Last Update Date | 2013-04-27 |