| NPI | 1225159155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAN CORDIER Nurse Practitioner 678-420-4195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: GA RN118553 NP) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2012-01-17 |