| NPI | 1194413401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH STARGELL Nurse Practitioner 706-407-1624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2023-04-25 |
| Last Update Date | 2023-04-25 |