| NPI | 1487389862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN O AINA CEO 706-577-2491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2022-07-20 |
| Last Update Date | 2022-12-07 |