| NPI | 1548833452 |
|---|---|
| Doing Business As | PURE HEALTH MEDICINE LLC |
| Entity Type | Organization |
| Authorized Contact | PAULETTE DECONTEE KPANNAH Owner 678-523-3663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2021-07-19 |
| Last Update Date | 2021-09-24 |