| NPI | 1083442354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEVARA JEAN BAILEY Co Owner 470-330-0778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-07-26 |
| Last Update Date | 2024-07-26 |