| NPI | 1558773002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINE C ANAELE Family Nurse Practitioner 678-594-3881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN135346) |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2014-06-02 |