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 |