NPI | 1457245060 |
---|---|
Entity Type | Organization |
Authorized Contact | TASHAWNDA PATTERSON President 404-352-4779 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Additional Taxonomies | 363L00000X Nurse Practitioner |
Enumeration Date | 2025-06-06 |
Last Update Date | 2025-06-06 |