| NPI | 1366045130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERA MAHOU Np C 404-883-9140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| 363LG0600X Nurse Practitioner, Gerontology | |
| Enumeration Date | 2020-11-16 |
| Last Update Date | 2021-03-09 |