| NPI | 1295488385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEVARA JEAN BAILEY Owner 470-330-0778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2022-01-30 |
| Last Update Date | 2024-07-26 |