| NPI | 1174232151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMA CULL CEO 678-469-5011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 364SP0812X Clinical Nurse Specialist, Psych/Mental Health, Community |
| 2084P2900X Psychiatry & Neurology, Pain Medicine | |
| Enumeration Date | 2022-11-18 |
| Last Update Date | 2023-08-03 |