| NPI | 1255700092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERROD LAQUINTON WILLIAMS President 404-932-0295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse Registered Nurse First Assistant (Licence: DC 2610) |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2015-10-07 |