| NPI | 1437990694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARLENE ARETHA TAYLOR ROSE Co Owner 912-980-0076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 363LC1500X Nurse Practitioner, Community Health | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2024-06-03 |
| Last Update Date | 2024-06-03 |