| NPI | 1609582501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE DUNCAN Vice President Of Revenue 678-332-6122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-01-25 |
| Last Update Date | 2023-01-25 |