NPI | 1306895362 |
---|---|
Entity Type | Organization |
Authorized Contact | JEWEL B MONTGOMERY Owner 770-427-5114 |
Organization Subpart ? | No |
Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: GA RN100039) |
Enumeration Date | 2006-05-08 |
Last Update Date | 2020-08-22 |