| NPI | 1174912901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA ANNETTE BARRETT Owner 706-506-9160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN093282) |
| Enumeration Date | 2015-01-16 |
| Last Update Date | 2015-01-16 |