| NPI | 1457503591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN MARIE VAUGHN AO 404-450-4684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2024-01-04 |