| NPI | 1356189310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYTRENA LASHEL HARRIS Family Nurse Practitioner 478-494-8441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2024-07-16 |
| Last Update Date | 2024-07-16 |