| NPI | 1255500112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESE WILLIAMS DUMAS Owner 770-856-3975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: 0295204-28) |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2008-02-25 |