| NPI | 1104190412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN VAUGHN Officer 404-450-4684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2012-03-05 |
| Last Update Date | 2023-03-27 |