| NPI | 1215657853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY YOUNG Nurse Practitioner 678-764-8919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2022-09-02 |
| Last Update Date | 2022-09-03 |