| NPI | 1194207613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN LANG-COLEMAN Owner 770-331-3780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA rn211932) |
| Enumeration Date | 2018-08-31 |
| Last Update Date | 2021-10-26 |