| NPI | 1376399642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGGY DARLENE TROYER Fnp 470-877-4764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2024-04-27 |
| Last Update Date | 2025-01-31 |