NPI | 1225616618 |
---|---|
Entity Type | Organization |
Authorized Contact | GWENDOLYN FLONNERY-ROBERTS Family Nurse Practitioner/Owner 912-254-7672 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2021-03-29 |
Last Update Date | 2024-12-19 |