| NPI | 1386385193 |
|---|---|
| Doing Business As | LEE-GOODRUM HEALTH |
| Entity Type | Organization |
| Authorized Contact | CASEY TARPLEY President 770-253-1121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2024-12-17 |