| NPI | 1598269250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH PRESIDENT Owner 770-616-7758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN166739) |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2022-04-25 |