| NPI | 1306874219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELODYE MARGUERITE JACOBS Charge Nurse 404-321-6111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP2201X Registered Nurse Ambulatory Care (Licence: GA R109830) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2020-08-22 |