| NPI | 1164747291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL LUKE EDWARDS VP Business Development 678-413-1360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 164W00000X Licensed Practical Nurse | |
| 207QH0002X Family Medicine, Hospice and Palliative Medicine | |
| Enumeration Date | 2010-03-31 |
| Last Update Date | 2010-03-31 |