| NPI | 1225577000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA ROMULUS PAULINE CEO/Owner 678-979-3905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN176139) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN176139) | |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2017-04-27 |