| NPI | 1114729688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERON LOWERY Registered Nurse First Assist 478-697-0436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant |
| Enumeration Date | 2025-03-26 |
| Last Update Date | 2025-04-02 |