NPI | 1255362729 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT RAY ALEXANDER Nurse Practioner 404-321-6111 |
Organization Subpart ? | No |
Primary Taxonomy | 261QV0200X Clinic/Center, VA (Licence: GA RN 096164-NP) |
Enumeration Date | 2006-07-05 |
Last Update Date | 2008-11-04 |