NPI | 1235545617 |
---|---|
Entity Type | Organization |
Authorized Contact | TOMMY DALTON BLEDSOE Medical Director 678-986-6144 |
Organization Subpart ? | No |
Primary Taxonomy | 364SA2200X Clinical Nurse Specialist Adult Health |
Enumeration Date | 2014-07-07 |
Last Update Date | 2014-07-07 |