NPI | 1356848121 |
---|---|
Entity Type | Organization |
Authorized Contact | KAREN MARIE VAUGHN Authorized Official 404-450-4684 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2018-04-09 |
Last Update Date | 2024-10-08 |