| NPI | 1346310604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE SCOTT Np 678-741-2317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN140254NP) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2020-08-22 |