| NPI | 1356925127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN WHITENING CEO/Ap RN 678-773-2314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2021-05-07 |
| Last Update Date | 2023-04-01 |