| NPI | 1346590221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELEN UZOKWE Director 770-510-3766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: GA RN145805) |
| Enumeration Date | 2012-09-18 |
| Last Update Date | 2012-09-18 |