| NPI | 1386385193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASEY TARPLEY President 678-378-7354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2025-06-05 |