| NPI | 1447134168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZAKIYYAH VASHE WEATHERSPOON CEO 229-630-2001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
| 164W00000X Licensed Practical Nurse | |
| 208D00000X General Practice | |
| Enumeration Date | 2025-08-05 |
| Last Update Date | 2025-08-18 |