| NPI | 1467110072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN COLEMAN Owner., Authorized Official 770-224-7205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2021-11-30 |
| Last Update Date | 2023-01-12 |