| NPI | 1174836753 |
|---|---|
| Doing Business As | SMARTERCLINIX OF ATHENS #1 |
| Entity Type | Organization |
| Authorized Contact | ROBERT WILDMON Executive Vice President 678-471-5308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care |
| Enumeration Date | 2010-07-23 |
| Last Update Date | 2010-07-23 |