| NPI | 1285064931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA ANDERSON Nurse Practitioner/Manager 706-593-7766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN154861NP) |
| Enumeration Date | 2013-11-16 |
| Last Update Date | 2013-11-16 |