| NPI | 1316804164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER D JOHNSON Member 678-234-3328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174H00000X Health Educator |
| Additional Taxonomies | 133N00000X Nutritionist |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine | |
| 226300000X Kinesiotherapist | |
| Enumeration Date | 2026-01-05 |
| Last Update Date | 2026-01-05 |