| NPI | 1336458280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET A DORTCH President 404-797-2497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: GA RN130308NP) |
| Enumeration Date | 2010-09-27 |
| Last Update Date | 2010-09-27 |