| NPI | 1174057194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRICIA SALMON ANDERSON Family Nurse Practitioner 678-777-7165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA 195112) |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2022-04-26 |