| NPI | 1437314770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY E. WADE Owner 678-612-2456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WE0900X Registered Nurse, Enterostomal Therapy (Licence: GA RN088948) |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2008-07-25 |