| NPI | 1457406688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN E BOULLAIN President And CEO 770-509-9801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2020-08-22 |