| NPI | 1619785540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA HOWINGTON Owner 706-206-2666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2024-12-23 |
| Last Update Date | 2024-12-23 |