| NPI | 1619271103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISTI LEIGH GODWIN President 229-245-1004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN130256) |
| Enumeration Date | 2010-12-27 |
| Last Update Date | 2016-01-13 |