| NPI | 1386361756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA JIMENEZ Chief Clinical Operations Officer 470-607-5533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2022-10-25 |
| Last Update Date | 2023-04-29 |