NPI | 1497411292 |
---|---|
Entity Type | Organization |
Authorized Contact | NORMA D BROCK Owner 770-853-1974 |
Organization Subpart ? | No |
Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant |
Enumeration Date | 2021-11-16 |
Last Update Date | 2021-11-16 |