| NPI | 1134048465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATONIA MICHELLE TRAWICK Nurse Practitioner 404-423-8158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2026-07-11 |
| Last Update Date | 2026-07-11 |