| 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 |