NPI | 1164255782 |
---|---|
Former Legal Business Name | ENPOWER HEALTH, INC. |
Entity Type | Organization |
Authorized Contact | SUSAN LYNN BAUMGARTNER Chief Operating Officer 678-602-5701 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
Enumeration Date | 2024-08-20 |
Last Update Date | 2024-08-20 |