| NPI | 1245826619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDY T. ZACHERY Nurse Practitioner, Owner 678-979-7382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2020-12-18 |
| Last Update Date | 2023-04-03 |