| NPI | 1467091629 |
|---|---|
| Doing Business As | CDG HEALTHCARE PROVIDER, P.C. |
| Entity Type | Organization |
| Authorized Contact | CORETTA DELIA KEITH CEO 404-710-6646 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 163WH0200X Registered Nurse Home Health |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2020-01-04 |
| Last Update Date | 2023-08-10 |