| NPI | 1366150724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA LORRAINE BRIGHT Nurse Practitioner 404-626-1815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2022-11-14 |
| Last Update Date | 2022-12-15 |