| NPI | 1578726584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY A GREINER Office Manager 404-256-6153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: RN174021 NP) |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2008-07-09 |